Bronchology – Past, Present and Future Diagnostic Procedures 9 Which ventilation technique to use depends on the type of broncho- scope that is available: •  Non-ventilating bronchoscope. •  Ventilating bronchoscope. •  Ventilating bronchoscope in combination with Sanders injector technique. Amongst other ventilation techniques, the KARL STORZ bronchoscopes can be used for high-frequency jet ventilation (HFJV) via a special LUER-Lock connect- or at the proximal end of the bronchoscope. Alternatively, the perpendicularly positioned side port can be fitted to a conventional anesthesia circle system enabling regular ventilation. The application of jet ventilation is very convenient and offers optimum vision and easy access for diagnostic and surgical instru- ments into the airways. The technique has been introduced into clinical practice by Sanders in 1970 and therefore it is often called Sanders injector technique. Another common denomination is “Venturi principle”, which actually covers on- ly one of the involved mechanisms for gas transport and exchange in the airway. The author uses the balanced anesthesia technique with intravenous injection for induction and TIVA (total IV anesthesia). Our patients are ventilated with a KARL STORZ bronchoscope via Sanders injector technique. For anesthesia, a benzodiazepine (Diazepam or Midazolam) and, for relaxation, intermittent doses of Succinylcholine are used. In the author’s experience, this is an excellent anesthetic technique for AF Bron- choscopy. Fig. 6 Combined Bronchoscopy with HOPKINS® Telescope or Broncho-Fiberscope (apply- ing Sanders injector technique and KARL STORZ D-LIGHT AF System, as shown above). Back –––––––Table of Contents–––––––Next Back –––––––Table of Contents–––––––Next